Triple flexion device
A device promotes triple flexion of the hip, knee and ankle. The device includes a belt, knee cuff, ankle wrap, foot wrap and two pairs of adjustable bands. The device is configured to promote triple flexion in the hip, knee and ankle of the user during the swing phase of walking when the user has the belt wrapped around the user's waist, the knee cuff wrapped around the user's knee, the ankle wrap wrapped around the user's ankle and the foot wrap wrapped around the user's foot.
This application claims the benefit of U.S. Provisional Patent Application No. 62/007,729, filed on Jun. 4, 2014. This application is also a national stage filing of PCT/US2015/034214, filed on Jun. 4, 2015. The entire contents of the above applications are incorporated herein by reference.
FIELDThe present invention relates to devices that facilitate or promote flexion of a joint in a human body and, in particular, a wearable device that facilitates the flexion of at least three joints during the swing phase of walking.
BACKGROUNDParalysis of the lower extremity can result in the loss of hip and knee flexion (hip and knee drop) and ankle flexion (foot drop) during the swing phase of walking. The hip, knee and ankle flex to pick the leg up to clear the ground to prevent dragging of the foot or tripping. The muscles responsible for this activity can become paralyzed through injury, disease or non-use (disuse muscle atrophy) that results in the inability to pick the leg up when walking.
Triple flexion is the combination of hip 12, knee 14 and ankle flexion 16 that takes place during the swing phase of walking, as shown in
There are a number of remedies to correct foot drop in real-time, but there are very few practical options for treating hip and knee drop. Traditional orthotics are designed to stabilize joints or provide some movement and flexibility of the joint through springs and flexible plastics, but these only work well for the foot, not the hip and knee because the weight of the leg is significantly greater than the mechanical torque that can be generated through traditional orthotic joints. Furthermore, traditional orthotics are heavy, restrictive, can cause pressure and skin breakdown and do not fit easily under clothing. While orthotics can control foot drop, they are often heavy, bulky, do not fit well into shoes, require one set of shoes to attach the orthotic to and skin pressure and breakdown is common. The other drawback is that many orthotic devices have to be custom fit. Many patients find the cosmetic aspect of orthotics objectionable and/or dislike the biomechanics produced by them, so they choose to abandon them despite the correction achieved.
Accordingly, there is room in the art for a device to address the needs of a person that has paralysis or injury that is causing hip, knee and foot drop. Moreover, there is need for a device that is not heavy and restrictive that does not create pressure against the skin and cause skin breakdown.
SUMMARYIn an aspect of the present invention, a device for promoting triple flexion of the hip, knee and ankle is provided. The device includes a belt, knee cuff, ankle wrap, foot wrap and two pairs of adjustable bands.
In accordance with an embodiment of the present invention, the device is configured to promote triple flexion in the hip, knee and ankle of the user during the swing phase of walking when the user has the belt wrapped around the user's waist, the knee cuff wrapped around the user's knee, the ankle wrap wrapped around the user's ankle and the foot wrap wrapped around the user's foot.
In accordance with another embodiment of the present invention, the belt is configured to be worn around a waist of a user.
In accordance with another embodiment of the present invention, the belt is V-shaped and configured to be worn around a waist of a user.
In accordance with yet another embodiment of the present invention, the knee cuff configured to wrap around a knee of the user and is positioned below the belt.
In accordance with yet another embodiment of the present invention, the foot wrap is configured to wrap around a foot of the user and is positioned below the knee cuff.
In accordance with yet another embodiment of the present invention, the ankle wrap is configured to wrap around an ankle of the user and positioned between the knee cuff and the foot wrap, wherein the ankle wrap has two loops for receiving there through the second pair of adjustable bands.
In accordance with yet another embodiment of the present invention, the first pair of adjustable bands each have a first end adjustably connected to the belt and a second end securedly fixed to the knee cuff and the second pair of adjustable bands each have a first end adjustably connected to the knee cuff and a second end securedly fixed to the foot wrap.
In accordance with still another embodiment of the present invention, the belt is fastened to the user's waist using a hook and loop fastener.
In accordance with still another embodiment of the present invention, the belt has a padded underside.
In accordance with still another embodiment of the present invention, the knee cuff has a u-shaped cut out.
In accordance with still another embodiment of the present invention, the knee cuff has a plurality of stiffening members.
In accordance with still another embodiment of the present invention, the knee cuff has a hook and loop fastener to fasten the knee cuff around the user's knee.
In accordance with still another embodiment of the present invention, the ankle wrap has a hook and loop fastener to fasten the ankle wrap around the user's ankle.
In accordance with still another embodiment of the present invention, the foot wrap has a hook and loop fastener to fasten the foot wrap around the user's foot.
Further features, advantages and areas of applicability will become apparent from the description provided herein. It should be understood that the description and specific examples are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.
The drawing described herein is for illustration purposes only and is not intended to limit the scope of the present disclosure in any way. In the drawing:
The following description is merely exemplary in nature and is not intended to limit the present disclosure, application, or uses.
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Additionally, a waist belt 32 shaped in a V is provided. The V shape of the waist belt 32 allows the waist belt to lay flat against the body as downward tension is created on waist belt 32 at the V from the two thigh elastic straps or bands 24 and 26 connected thereto. Soft padding on the underside of the waist belt 32 cushions the waist belt 32 against the skin. The waist belt 32 is retained on the pelvis though a hook and loop fastener or other fastener means and does not apply force to the lower back.
Bands 24 and 26 are adjustable by threading the bands through a pair of loops 25 and 27 that are attached to the belt 32. The bands 24, 26 are threaded through the loops and then folded back on themselves and secured through hook and loop fastening means. Similarly, bands 28 and 30 are adjustable by threading the bands through a pair of loops 29 and 31 that are attached to the knee cuff 34. The bands 28, 30 are threaded through the loops and then fold back on themselves and are secured through hook and loop fastening means.
Further, a proximal lower leg wrap-around knee cuff 34 with a cutout 36 for the patella grips the proximal lower leg to prevent rotation and distal or proximal migration of the knee cuff 34. The cutout 36 has a padded and rolled edge to increase comfort of the user and prevent skin abrasions proximate the knee. Lower leg wrap-around knee cuff 34 is connected at one end to straps 24 and 26 and at another end to straps 28 and 30. The proximal lower leg knee cuff 34 has stiffening elements 38, 40 and 42 that prevent stretch in the cuff 34 are made of Dacron or similar non-stretch, stiffening material. The anterior-proximal and the posterior-distal stiffening elements 38, 40 together prevent proximal and distal migration of the cuff 32. Preventing stretch of the cuff 34 material is critical since the cuff 34 must not migrate from its position to maintain tension in the thigh straps or bands 24 and 26 and the lower leg elastic straps or bands 28 and 30. Lower leg wrap-around knee cuff 34 is secured to the knee by a hook and loop fastener or other fastener means.
Moreover, an ankle wrap 50 is provided that has two loops 52 and 54 that allow the passage of the lower leg tension straps or bands 28 and 30, but holds the straps to the ankle wrap 50 and prevents the straps from bowstringing. Ankle wrap 50 is secured to the ankle by a hook and loop fastener or other fastener means.
Moreover, the device 10 further includes a foot wrap 60 that is connected to the straps or bands 28 and 30 and is configured to wrap around and be secured to the foot. Foot wrap 60 is secured to the foot by a hook and loop fastener or other fastener means.
Once attached to a user, as shown in
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- 1) Flexes the hip in the swing phase of gait;
- 2) Flexes the knee in the swing phase of gait;
- 3) Dorsiflexes the ankle/foot in the swing phase of gait;
- 4) Reduces genu recurvatum (hyperextension of the knee);
- 5) Slows down and dampens the plantarflexion moment of the ankle at heel strike;
- 6) By flexing the hip, knee and ankle in the swing phase of gait, the device lowers the energy expenditure of the user who otherwise compensates for the lack of joint movements;
- 7) Lowers the energy and force required by the hip, knee and ankle flexors in a user who has partial paralysis and muscle weakness; and
- 8) When the user sits, the tension from the thigh and lower leg tension straps is eliminated so that the user sits in comfort with no forces applied to the leg.
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For example as shown in
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The present invention has many advantages and benefits over the prior are the following are just a few: 1) Adjustable tension elastic straps or bands 24, 26, 28 and 30 that flex the hip and knee. 2) Adjustable tension elastic straps or bands 24, 26, 28 and 30 that dorsiflex the foot. 3) Waist belt 32 shaped in a V allows the waist belt to lay flat against the body as downward tension is created on waist belt 32 at the V from the two thigh elastic straps or bands 24, 26 and soft padding on the underside of the belt cushions the waist belt 32 against the skin. The waist belt 32 is retained on the pelvis and does not apply force to the lower back. 4) Proximal lower leg wrap-around cuff 34 with cut out for the patella grips the proximal lower leg to prevent rotation and distal or proximal migration of the cuff 34. 5) The proximal lower leg cuff 34 has 38, 40 and 42 stiffening elements that prevent stretch in the cuff 34. The anterior-proximal and the posterior-distal stiffening elements together prevent proximal and distal migration of the cuff 34. Preventing stretch of the cuff 34 material is critical since the cuff 34 must not migrate from its position to maintain tension in the thigh and the lower leg elastic straps or bands 24, 26. 6) The position of the thigh and lower leg elastic straps or bands 24, 26 provide balancing forces to each other. The force generated in the thigh elastic straps or bands 24, 26 tend to draw the lower leg cuff 34 proximally while the lower leg elastic straps or bands 28, 30 tend to draw the lower leg cuff 34 distally. These opposing forces tend to help keep the cuff 34 from shifting proximally or distally. The lessening of forces on the cuff 34 makes the cuff 34 more comfortable on the user (see
The description of the invention is merely exemplary in nature and variations that do not depart from the gist of the invention are intended to be within the scope of the invention. Such variations are not to be regarded as a departure from the spirit and scope of the invention.
Claims
1. A device for assisting with hip, knee and ankle flexion, the device comprising:
- a belt configured to be worn around a waist of a user wherein the belt is V-shaped and the first adjustable elastic band of the first pair of elastic bands is connected to the belt at a first side of the V-shape and the second adjustable elastic band of the first pair of elastic bands is connected to the belt at a second side of the V-shape;
- a knee cuff configured to wrap around a knee of the user and positioned below the belt;
- a foot wrap configured to wrap around a foot of the user and positioned below the knee cuff;
- two pairs of adjustable elastic bands wherein the first pair each have a first end adjustably connected to the belt and a second end securedly fixed to the knee cuff and wherein the second pair each have a first end adjustably connected to the knee cuff and a second end securedly fixed to the foot wrap;
- an ankle wrap configured to wrap around an ankle of the user and positioned between the knee cuff and the foot wrap, wherein the ankle wrap has two loops spaced from one another, wherein each loop receives there through one of the second pair of adjustable elastic bands to space each of the second pair of adjustable elastic bands about a user's ankle;
- wherein the knee cuff includes a u-shaped cutout configured to contour around a lower aspect of a patella of the user with the u-shaped cutout opening upwards toward the waist of the user, and a first adjustable elastic band of the first pair of elastic bands is connected to the knee cuff at a first end of the u-shaped cutout and extends toward and connects to the belt and a second adjustable elastic band of the first pair of elastic bands is connected to the knee cuff at a second end of the u-shaped cutout and extends toward and connects to the belt;
- wherein the belt is V-shaped and the first adjustable elastic band of the first pair of elastic bands is connected to the belt at a first side of the V-shape and the second adjustable elastic band of the first pair of elastic bands is connected to the belt at a second side of the V-shape; and
- whereby, triple flexion occurs in the hip, knee and ankle of the user during a swing phase of walking when the user has the belt wrapped around the user's waist, the knee cuff wrapped around the user's knee, the ankle wrap wrapped around the user's ankle, and the foot and the foot wrap wrapped around the user's foot.
2. The device of claim 1, wherein the belt is fastened to the user's waist using a hook and loop fastener.
3. The device of claim 2, wherein the belt has a padded underside.
4. The device of claim 1, wherein the knee cuff has a plurality of stiffening members.
5. The device of claim 4, wherein the knee cuff has a hook and loop fastener to fasten the knee cuff around the user's knee.
6. The device of claim 1, wherein the ankle wrap has a hook and loop fastener to fasten the ankle wrap around the user's ankle.
7. The device of claim 1, wherein the foot wrap has a hook and loop fastener to fasten the foot wrap around the user's foot.
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Type: Grant
Filed: Jun 4, 2015
Date of Patent: Jan 2, 2024
Patent Publication Number: 20170105864
Inventor: Philip Muccio (Ypsilanti, MI)
Primary Examiner: Tarla R Patel
Application Number: 15/316,039